{"title":"糖尿病视网膜病变患者焦虑和抑郁的患病率及风险因素：一项使用多种量表的横断面研究。","authors":"Hui Qiu","doi":"10.1177/11206721241300213","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of anxiety and depression, and explore their related factors in all types of diabetic retinopathy (DR) patients more precisely and accurately by multiple scales.</p><p><strong>Methods: </strong>Beck anxiety inventory (BAI), self-rating anxiety scale (SAS), beck depression inventory (BDI), and self-rating depression scale (SDS) scores were assessed in 247 DR patients and 250 non-retinopathic diabetes mellitus (NRDM) patients.</p><p><strong>Results: </strong>In DR patients, there were 32 patients with proliferative DR and 115 patients with impaired visual acuity. The prevalences (95% confidence interval) of anxiety were 38.5% (32.4%-44.6%) and 32.0% (26.2%-37.8%) by BAI and SAS, while those for depression were 31.6% (25.8%-37.4%) and 25.1% (19.7%-30.5%) by BDI and SDS in DR patients. BAI score (<i>P </i>= 0.003), BAI-defined anxiety rate (<i>P </i>= 0.010), SAS score (<i>P </i>= 0.001), SAS-defined anxiety rate (<i>P </i>= 0.006), BDI score (<i>P </i>= 0.005), BDI-defined depression rate (<i>P </i>= 0.028), and SDS score (<i>P </i>= 0.001) were increased in DR patients versus NRDM patients. In DR patients, proliferative DR independently related to BAI-defined anxiety (<i>P </i>< 0.001) and SAS-defined anxiety (<i>P </i>< 0.001). Female (<i>P </i>= 0.016) and proliferative DR (<i>P </i>< 0.001) independently associated with BDI-defined depression; female (<i>P </i>= 0.007), DM duration (<i>P </i>= 0.025), triglyceride (TG) (<i>P </i>= 0.026), and proliferative DR (<i>P </i>= 0.014) independently associated with SDS-defined depression. The combination of these independent factors showed acceptable abilities in predicting BAI-defined anxiety, SAS-defined anxiety, BDI-defined depression, or SDS-defined depression in DR patients, with area under curves of 0.626, 0.656, 0.696, and 0.741, respectively (all <i>P </i>< 0.001).</p><p><strong>Conclusion: </strong>Anxiety and depression are prevalent; meanwhile, proliferative DR, female, DM duration, and TG independently relate to anxiety or depression in DR patients.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721241300213"},"PeriodicalIF":1.4000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence and risk factors of anxiety and depression in diabetic retinopathy patients: A cross-sectional study using multiple scales.\",\"authors\":\"Hui Qiu\",\"doi\":\"10.1177/11206721241300213\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To investigate the prevalence of anxiety and depression, and explore their related factors in all types of diabetic retinopathy (DR) patients more precisely and accurately by multiple scales.</p><p><strong>Methods: </strong>Beck anxiety inventory (BAI), self-rating anxiety scale (SAS), beck depression inventory (BDI), and self-rating depression scale (SDS) scores were assessed in 247 DR patients and 250 non-retinopathic diabetes mellitus (NRDM) patients.</p><p><strong>Results: </strong>In DR patients, there were 32 patients with proliferative DR and 115 patients with impaired visual acuity. The prevalences (95% confidence interval) of anxiety were 38.5% (32.4%-44.6%) and 32.0% (26.2%-37.8%) by BAI and SAS, while those for depression were 31.6% (25.8%-37.4%) and 25.1% (19.7%-30.5%) by BDI and SDS in DR patients. BAI score (<i>P </i>= 0.003), BAI-defined anxiety rate (<i>P </i>= 0.010), SAS score (<i>P </i>= 0.001), SAS-defined anxiety rate (<i>P </i>= 0.006), BDI score (<i>P </i>= 0.005), BDI-defined depression rate (<i>P </i>= 0.028), and SDS score (<i>P </i>= 0.001) were increased in DR patients versus NRDM patients. In DR patients, proliferative DR independently related to BAI-defined anxiety (<i>P </i>< 0.001) and SAS-defined anxiety (<i>P </i>< 0.001). Female (<i>P </i>= 0.016) and proliferative DR (<i>P </i>< 0.001) independently associated with BDI-defined depression; female (<i>P </i>= 0.007), DM duration (<i>P </i>= 0.025), triglyceride (TG) (<i>P </i>= 0.026), and proliferative DR (<i>P </i>= 0.014) independently associated with SDS-defined depression. The combination of these independent factors showed acceptable abilities in predicting BAI-defined anxiety, SAS-defined anxiety, BDI-defined depression, or SDS-defined depression in DR patients, with area under curves of 0.626, 0.656, 0.696, and 0.741, respectively (all <i>P </i>< 0.001).</p><p><strong>Conclusion: </strong>Anxiety and depression are prevalent; meanwhile, proliferative DR, female, DM duration, and TG independently relate to anxiety or depression in DR patients.</p>\",\"PeriodicalId\":12000,\"journal\":{\"name\":\"European Journal of Ophthalmology\",\"volume\":\" \",\"pages\":\"11206721241300213\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/11206721241300213\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11206721241300213","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的通过多种量表更准确、更精确地调查各种类型糖尿病视网膜病变（DR）患者的焦虑和抑郁发生率，并探讨其相关因素：对 247 名糖尿病视网膜病变（DR）患者和 250 名非视网膜病变糖尿病（NRDM）患者的贝克焦虑量表（BAI）、焦虑自评量表（SAS）、贝克抑郁量表（BDI）和抑郁自评量表（SDS）评分进行评估：在 DR 患者中，有 32 名增殖性 DR 患者和 115 名视力受损患者。根据 BAI 和 SAS，DR 患者的焦虑患病率（95% 置信区间）分别为 38.5%（32.4%-44.6%）和 32.0%（26.2%-37.8%），而根据 BDI 和 SDS，DR 患者的抑郁患病率分别为 31.6%（25.8%-37.4%）和 25.1%（19.7%-30.5%）。与 NRDM 患者相比，DR 患者的 BAI 评分（P = 0.003）、BAI 定义的焦虑率（P = 0.010）、SAS 评分（P = 0.001）、SAS 定义的焦虑率（P = 0.006）、BDI 评分（P = 0.005）、BDI 定义的抑郁率（P = 0.028）和 SDS 评分（P = 0.001）均有所增加。在DR患者中，增殖性DR与BAI定义的焦虑（P P = 0.016）和增殖性DR（P P = 0.007）独立相关，DM持续时间（P = 0.025）、甘油三酯（TG）（P = 0.026）和增殖性DR（P = 0.014）与SDS定义的抑郁独立相关。这些独立因素的组合在预测 DR 患者 BAI 定义的焦虑、SAS 定义的焦虑、BDI 定义的抑郁或 SDS 定义的抑郁方面表现出了可接受的能力，曲线下面积分别为 0.626、0.656、0.696 和 0.741（均为 P 结论：焦虑和抑郁是一种普遍存在的疾病，其发病率较高：焦虑和抑郁是普遍存在的；同时，增殖性 DR、女性、DM 持续时间和 TG 与 DR 患者的焦虑或抑郁有独立的关系。
Prevalence and risk factors of anxiety and depression in diabetic retinopathy patients: A cross-sectional study using multiple scales.
Objective: To investigate the prevalence of anxiety and depression, and explore their related factors in all types of diabetic retinopathy (DR) patients more precisely and accurately by multiple scales.
Methods: Beck anxiety inventory (BAI), self-rating anxiety scale (SAS), beck depression inventory (BDI), and self-rating depression scale (SDS) scores were assessed in 247 DR patients and 250 non-retinopathic diabetes mellitus (NRDM) patients.
Results: In DR patients, there were 32 patients with proliferative DR and 115 patients with impaired visual acuity. The prevalences (95% confidence interval) of anxiety were 38.5% (32.4%-44.6%) and 32.0% (26.2%-37.8%) by BAI and SAS, while those for depression were 31.6% (25.8%-37.4%) and 25.1% (19.7%-30.5%) by BDI and SDS in DR patients. BAI score (P = 0.003), BAI-defined anxiety rate (P = 0.010), SAS score (P = 0.001), SAS-defined anxiety rate (P = 0.006), BDI score (P = 0.005), BDI-defined depression rate (P = 0.028), and SDS score (P = 0.001) were increased in DR patients versus NRDM patients. In DR patients, proliferative DR independently related to BAI-defined anxiety (P < 0.001) and SAS-defined anxiety (P < 0.001). Female (P = 0.016) and proliferative DR (P < 0.001) independently associated with BDI-defined depression; female (P = 0.007), DM duration (P = 0.025), triglyceride (TG) (P = 0.026), and proliferative DR (P = 0.014) independently associated with SDS-defined depression. The combination of these independent factors showed acceptable abilities in predicting BAI-defined anxiety, SAS-defined anxiety, BDI-defined depression, or SDS-defined depression in DR patients, with area under curves of 0.626, 0.656, 0.696, and 0.741, respectively (all P < 0.001).
Conclusion: Anxiety and depression are prevalent; meanwhile, proliferative DR, female, DM duration, and TG independently relate to anxiety or depression in DR patients.
期刊介绍：
The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
